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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPART[ T ` <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0016754 <br /> Facility ID FA0009754 <br /> Date Printed 1/24/2005 <br /> MERRY X-RAY CHEMICAL CO INC RE : MERRY X-RAY CHEMICAL CO INC <br /> <br /> STOCKTON, CA 95203-1420 <br /> OWNER : MERRY X RAY CHEMICAL CORP <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0129884---Date of Invoice: 1/24/2005 I IIIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII VIII IIII IIII <br /> 1/24/2005 2220 SM HW GEN <5 TONS/YR $ 200.00 <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 390.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total forthis Invoice $ 614.00 <br /> Payment Due Date 2/23/2005 <br /> TOTAL DUE this Billing Periodl $ 614.00 <br /> PAYMENT <br /> y4- 714, Gid V RECEIVED <br /> I l FEB 7 2005 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For DES/HMMP Fees For all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% Penalties will be added at the Rate of 10% <br /> 30 Days after the Due Date 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> �1�5rpt <br />